Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | D0089456 | MD |
NPI | 1265827174 |
---|---|
Provider Name | Seth Nicholas Ball |
First Address | Canton, OH 44718-2545 |
Second Address | Baltimore, MD 21201-1642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 09/08/2020 |